CMS

CMS Takes Further Steps to Ensure Medicare Beneficiaries Have Wide Access to COVID-19 Antibody Treatment

CMS – February 19, 2021 | The U.S. Food and Drug Administration issued an Emergency Use Authorization (EUA) for the investigational monoclonal antibody therapy, bamlanivimab and etesevimab, administered together, for the treatment of mild-to-moderate COVID-19 in adults and pediatric patients with positive COVID-19 test results who are at high risk for progressing to severe COVID-19 …

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Webinar on Feb. 23: MIPS Call for Promoting Interoperability Measures and Improvement Activities

The Centers for Medicare & Medicaid Services (CMS) is hosting a webinar on Tuesday, February 23, 2021 from 2:00 – 3:00 p.m. ET to provide an overview on the Annual Call for Measures and Activities process for the Promoting Interoperability and improvement activities performance categories, which began on February 1, 2021. The MIPS Annual Call …

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What Partners Need to Know Now about Health Insurance Coverage during the Pandemic

CMS Memo – February 17, 2021 | As COVID-19 vaccines begin rolling out across the country, CMS is taking action to protect the health and safety of our nation’s patients and providers and keeping you updated on the latest COVID-19 resources from HHS, CDC and CMS. With information coming from many different sources, CMS has …

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CMS Releases Nursing Home COVID-19 Training Data with Urgent Call to Action

Agency thanks nursing homes whose staff have completed free CMS training, but urges remaining homes to take advantage of this resource CMS NEWS | Today, the Centers for Medicare & Medicaid Services (CMS) is publicly recognizing the 1,092 nursing homes at which 50% or more of their staff have completed CMS training designed to help …

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CMS COVID-19 Stakeholder Engagement Calls: January

CMS hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19. These sessions are open to members of the healthcare community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions of CMS and other subject matter experts.  Call details …

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COVID-19 Vaccine Codes: Updated Effective Date for Moderna

CMS Memo | December 22, 2020 – On December 18, 2020, the U.S. Food and Drug Administration issued an Emergency Use Authorization (EUA) for the Moderna COVID‑19 Vaccine for the prevention of COVID-19 for individuals 18 years of age and older. Review Moderna’s Fact Sheet for Healthcare Providers Administering Vaccine (Vaccination Providers) regarding the limitations …

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Webinar on Dec. 17: Medicare Diabetes Prevention Program Office Hours

December 17, 3PM EDT Join the Medicare Diabetes Prevention Program (MDPP) Office Hours to learn what the (CY) 2021 Physician Fee Schedule Final Rule means for your MDPP organization. Please be sure to read the MDPP portion of Calendar Year (CY) 2021 Physician Fee Schedule (PFS) Final Rule before the town hall and make note …

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COVID-19 Vaccine Codes: Updated Effective Date for Pfizer-BioNTech

CMS Memo | December 14, 2020 – On December 11, 2020, the U.S. Food and Drug Administration issued an Emergency Use Authorization (EUA) for the Pfizer-BioNTech COVID‑19 Vaccine for the prevention of COVID-19 for individuals 16 years of age and older. Review Pfizer’s Fact Sheet for Healthcare Providers Administering Vaccine (Vaccination Providers) regarding the limitations of …

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CMS Guidance for Medicare Coverage of COVID-19 Antibody Treatment

CMS Memo | December 9, 2020 – CMS posted updates to FAQs and an infographic about coverage and payment for monoclonal antibodies to treat COVID-19. The FAQs include general payment and billing guidance for these products, including questions on different setting types. The infographic has key facts about expected Medicare payment to providers and information …

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It’s Not Too Late to Get the Flu Shot

It’s more important than ever for everyone to do their part to help prevent the spread of illnesses like the flu. Because of the COVID-19 pandemic, fewer people are getting vaccines which puts their communities at greater risk for other preventable diseases, like the flu. When people get the flu shot, it helps protect them and …

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ACL/CMS Webinar on Jan 14: Food Insecurity and Nutrition-Related Chronic Diseases during COVID-19

Reducing Food Insecurity and Nutrition-Related Chronic Diseases During COVID-19 Among Medicaid HCBS Beneficiaries January 14, 2021 | 3-4:30PM EDT The Administration for Community Living (ACL) and the Centers for Medicare & Medicaid Services (CMS) host a monthly webinar series that invites subject matter experts and practitioners from across the home-and-community-based services (HCBS) spectrum to share …

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COVID-19 Vaccines and Monoclonal Antibody Infusion: Enforcement Discretion Relating to SNF Consolidated Billing

To facilitate the efficient administration of COVID-19 vaccines to Skilled Nursing Facility (SNF) residents, CMS is exercising enforcement discretion with respect to statutory provisions requiring consolidated billing by SNFs as well as any associated statutory references and implementing regulations, including as interpreted in pertinent guidance. Through the exercise of this discretion, CMS will allow Medicare-enrolled …

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CMS Takes Further Steps to Ensure Medicare Beneficiaries Have Wide Access to COVID-19 Antibody Treatment

The U.S. Food and Drug Administration issued an Emergency Use Authorization (EUA) for the investigational monoclonal antibody therapy, casirivimab and imdevimab, administered together, for the treatment of mild-to-moderate COVID-19 in adults and pediatric patients with positive COVID-19 test results who are at high risk for progressing to severe COVID-19 and/or hospitalization. Casirivimab and imdevimab, administered …

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CMS COVID-19 Stakeholder Engagement Calls: December 2020

CMS hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19. These sessions are open to members of the healthcare community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions of CMS and other subject matter experts.  Call details …

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CMS Policies Give Medicare Beneficiaries More Choices around Surgery

CMS Memo | December 3, 2020 – Today, the Centers for Medicare & Medicaid Services (CMS) is finalizing policy changes that will give Medicare patients and their doctors greater choices to get care at a lower cost in an outpatient setting. The Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) final rules will …

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CMS Call on December 2: Physician Fee Schedule

Wednesday, December 2, 11AM EDT Please join CMS for a National Stakeholder call on the recently announced Physician Fee Schedule.  The call will take place today on Wednesday, December 2 at 11:00 AM Eastern. Toll-Free Attendee Dial In: 888-455-1397 | Conference ID: 5796036 Resources Physician Fee Schedule Press Release Fact Sheet: CY 2021 Physician Fee …

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Finalized Permanent Expansion of Medicare Telehealth Services and Improved Payment for Time Doctors Spend with Patients

CMS Memo | December 1, 2020 – Today, the Centers for Medicare & Medicaid Services (CMS) released the annual Physician Fee Schedule (PFS) final rule, prioritizing CMS’ investment in primary care and chronic disease management by increasing payments to physicians and other practitioners for the additional time they spend with patients, especially those with chronic …

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Supporting Healthy Minds for Wisdom Keepers

About 1 in every 3 American Indian/Alaska Native older adults, age 65 or older, is at risk for dementia. According to the Centers for Disease Control and Prevention, heart health is closely connected to brain health. Wisdom Keeper Campaign To raise awareness about dementia and encourage elders to keep their minds and hearts healthy, the …

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HHS/ASPR Training to Help Older Adults During a Disaster

The U.S. Department of Health and Human Services (HHS), Office of the Assistant Secretary for Preparedness and Response (ASPR) developed the Addressing the Needs of Older Adults in Disasters web-based training. HHS/ASPR designed this free, publicly accessible course to improve public health and emergency medical responders’ capability to address the access and functional needs of community-dwelling older …

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Behavioral Health Resources for Indian Country

For more resources on supporting the behavioral health of elders and Indian Country as a whole, explore the new CMS Tribal Behavioral Health. Who is it for? This site is intended for people seeking behavioral health care for themselves or loved ones, health care providers, tribal leaders, and tribal health directors who would like to …

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CMS Comprehensive Strategy: Enhance Hospital Capacity Amid COVID-19 Surge

Agency outlines flexibilities to maximize Acute Hospital Care at Home, Ambulatory Surgical Centers to decompress hospitals treating COVID-19 patients CMS Memo | November 25, 2020 – Today, the Centers for Medicare & Medicaid Services (CMS) outlined unprecedented comprehensive steps to increase the capacity of the American health care system to provide care to patients outside …

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Reducing Loneliness for Nursing Home Residents

As the pandemic continues, the behavioral health of nursing home residents continues to be a concern. A new survey of nursing home residents by Altarum looked into how residents’ lives changed due to the pandemic. The survey found social interactions inside and outside of nursing homes have dropped sharply. More than half of the respondents …

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CMS Announces Historic Changes to Physician Self-Referral Regulations

CMS Memo | November 22, 2020 – Today, the Centers for Medicare & Medicaid Services (CMS) finalized changes to outdated federal regulations that burdened health care providers with added administrative costs and impeded the health care system’s move toward value-based reimbursement. The Physician Self-Referral Law, also known as the “Stark Law,” generally prohibits a physician …

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CMS Request for Application: Value in Opioid Use Disorder Treatment Initiative

CMS is announcing the Request for Application (RFA) open period (November 19, 2020 to January 3, 2021) for the Value in Opioid Use Disorder Treatment (ViT) Initiative The Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation (Innovation Center) is announcing the Request for Application (RFA) for a new initiative that …

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CMS Nursing Home Podcast Series for Front Line Clinicians and Staff

CMS Beyond the Policy: Nursing Home Series for Frontline Clinicians and Staff The Centers for Medicare & Medicaid Services (CMS) is airing the first episode in a series of short podcasts for frontline nursing home staff. The series is designed to reinforce training and infection control practices in nursing homes to help combat the spread …

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CMS Urging Nursing Homes to Follow Established COVID-19 Guidelines This Holiday Season

CMS Memo | November 19, 2020 – Today, in advance of the approaching holiday season, the Centers for Medicare & Medicaid Services (CMS) is urging nursing home staff, residents, and visitors to follow established guidelines for visitation and adherence to the core principles of infection prevention. These guidelines include: Remaining six feet apart from individuals …

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CMS to Celebrate the Power of Rural

Rural communities face their own unique challenges when it comes to accessing and receiving quality health care. Approximately 60 million Americans live in rural areas, with nearly every state having at least one rural county. Research has shown that rural Americans are disproportionately affected by certain health conditions compared to their urban counterparts due to factors …

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CMS Releases Nursing Home COVID-19 Training Data with Urgent Call to Action

Agency thanks nursing homes whose staff have completed free CMS training, but urges remaining homes to take advantage of this resource CMS Memo | November 18, 2020 – Today, the Centers for Medicare & Medicaid Services (CMS) is publicly recognizing the 1,092 nursing homes at which 50% or more of their staff have completed CMS …

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CMS Will Retire the Original Compare Tools on December 1

CMS will retire the original Compare Tools on December 1. Use Medicare.gov’s Care Compare to find and compare health care providers. In early September, the Centers for Medicare & Medicaid Services (CMS) released Care Compare on Medicare.gov, which streamlines our eight original health care compare tools.  Since then, you’ve had the opportunity to use and …

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Understanding the Pharmacy Partnership for Long-Term Care Program

The Pharmacy Partnership for Long-term Care (LTC) Program provides end-to-end management of the COVID-19 vaccination process, including cold chain management, on-site vaccinations, and fulfillment of reporting requirements. The program facilitates safe vaccination of this patient population, while reducing burden on long-term care facilities (LTCFs) and jurisdictional health departments.   LTCF staff who have not received COVID-19 …

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COVID-19 Vaccine Codes and PC-ACE Software Update

In anticipation of the availability of a vaccine(s), for the novel coronavirus (SARS-CoV-2) in response to the coronavirus disease 2019 (COVID-19), the American Medical Association (AMA), working with the Centers for Medicare & Medicaid Services (CMS), created new codes for the vaccine and the administration of the vaccine.  To prepare for the vaccine administration claims, …

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CMS Takes Steps to Ensure Medicare Beneficiaries Have Wide Access to COVID-19 Antibody Treatment

Coverage Available at No Cost to Beneficiaries Across Variety of Settings in Health Care System The Centers for Medicare & Medicaid Services announced that starting November 13, Medicare beneficiaries can receive coverage of monoclonal antibodies to treat coronavirus disease 2019 (COVID-19) with no cost-sharing during the public health emergency (PHE). CMS’ coverage of monoclonal antibody …

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CMS Webinar on Nov. 12: NTP Medicare Update & Education Webinar

November 12, 1-2:30PM EDT Join us as we share updates related to this year’s Marketplace Open Enrollment. Learn what you need to know if you have a Marketplace Plan and become eligible for Medicare. After registration, you’ll get an email with a calendar appointment. This webinar will be recorded. You don’t need to register to …

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CMS Releases Toolkit to Accelerate State Efforts to Rebalance Long-term Care Systems and Enhance Home and Community-Based Services for Eligible Medicaid Beneficiaries

The Trump Administration and Centers for Medicare & Medicaid Services (CMS) are delivering on their commitment to foster innovation in Medicaid by providing states with new tools to help beneficiaries return home from institutional settings without sacrificing safety or quality of care.   Today, CMS launched a new toolkit designed for state Medicaid agencies to strengthen …

CMS Releases Toolkit to Accelerate State Efforts to Rebalance Long-term Care Systems and Enhance Home and Community-Based Services for Eligible Medicaid Beneficiaries Read More »

CMS COVID-19 Stakeholder Engagement Calls for November

CMS hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19. These sessions are open to members of the healthcare community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions of CMS and other subject matter experts. Call details …

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CMS’ New One-Stop Nursing Home Resource Center Assists Providers, Caregivers, Residents

October 30, 2020 – The Centers for Medicare & Medicaid Services (CMS) launched a new online platform – the Nursing Home Resource Center – to serve as a centralized hub bringing together the latest information, guidance and data on nursing homes that is important to facilities, frontline providers, residents and their families, especially as the …

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Twice Monthly Live Q&A Sessions: CMS-CDC Fundamentals of COVID-19 Prevention for Nursing Home Management

November 5, 2020 – January 7, 2021, 4-5PM EDT This live Q&A series is open to clinical and administrative nursing home staff members and others who have completed the self-paced, on-demand CMS-CDC Fundamentals of COVID-19 Prevention for Nursing Home Management training hosted on www.QIOProgram.org for 24/7 access. These live Q&A Sessions are brought to you …

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CMS Webinar on October 8: Getting Ready for the Medicare Open Enrollment Period

October 8, 2020 This webinar was designed for those who help people with Medicare make informed decisions about their 2021 health care coverage. The webinar covered information regarding 2021 Medicare Program updates and resources. View the recording and accompanying materials on the CMS website. Questions? For assistance, please email NTPHelp@cms.hhs.gov.

CMS COVID-19 Stakeholder Engagement Calls – October

CMS hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19. These sessions are open to members of the healthcare community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions of CMS and other subject matter experts. Call details …

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IPRO to Provide Hospital Quality Improvement Services for the Centers for Medicare & Medicaid Services

Lake Success, NY, October 19, 2020 – The Centers for Medicare & Medicaid Services (CMS) has awarded a four-year contract to IPRO to serve as a Hospital Quality Improvement Contractor (HQIC) within its Network of Quality Improvement and Innovation Contractors (NQIIC). HQICs will provide targeted quality improvement assistance to small, rural and critical access hospitals …

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CMS Webinar: Staffing Challenges & Solutions: Insights from the Frontline

Tuesday, October 20, 2–3PM EDT Please join us for a National Learning and Action Network (LAN) event on Tuesday, October 20, 2020 from 2:00-3:00 PM ET. A LAN is a group of health care professionals and stakeholder organizations, convened by the QIO Program. The goal of the LAN is to improve patient care and population …

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Hispanic Heritage Month: Resources for Patients, Families, & Caregivers

Improve Health Equity During Hispanic Heritage Month From September 15 – October 15, the Centers for Medicare & Medicaid Services Office of Minority Health (CMS OMH), along with the IPRO QIN-QIO, honors National Hispanic Heritage Month. This year, CMS OMH is prioritizing health for the nation’s 60 million Hispanics by encouraging annual flu shots and …

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CMS Call on October 7: Substance Use Disorder Treatment during COVID-19

Treatment for Substance Use Disorder During the Public Health Emergency Wednesday, October 7, 3PM-4PM EDT CMS will host a Special Open Door Forum (ODF) to allow primary care providers, psychosocial support specialists, addiction medicine specialists, and other interested parties to ask questions on CMS’s actions to address the opioids crisis during the public health emergency …

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Register for Free Training on Coronavirus Testing in Nursing Homes

ECHO National Nursing Home COVID-19 Action Network presents a conversation with national experts on coronavirus testing in nursing homes. Coronavirus Testing in Nursing Homes October 1, 2020, 1:30 – 3:00 EDT Looking for more learning opportunities? Join an interactive community of practice to advance improvements in COVID-19 preparedness, safety, and infection control in nursing homes. …

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CMS Announces New Guidance for Safe Visitation in Nursing Homes

September 17, 2020 – The Centers for Medicare & Medicaid Services (CMS) issued revised guidance providing detailed recommendations on ways nursing homes can safely facilitate visitation during the coronavirus disease 2019 (COVID-19) pandemic. After several months of visitor restrictions designed to slow the spread of COVID-19, CMS recognizes that physical separation from family and other …

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Report Released: Independent Nursing Home COVID-19 Commission Findings

The independent Coronavirus Commission for Safety and Quality in Nursing Homes released its final report to CMS on September 16. The Commission report was created to conduct an independent review and comprehensive assessments of confronting COVID-19. This report contains best practices that emphasize and reinforce CMS strategies and initiatives, including those implemented by Quality Innovation …

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CMS & CDC Trainings & Live Q&A Sessions on COVID-19 Prevention for Nursing Home Management

Trainings The CMS-CDC Fundamentals of COVID-19 Prevention for Nursing Home Management training series covers 13 topics that your nursing home staff must know to manage the COVID-19 pandemic. These trainings are housed on www.QIOProgram.org for 24/7 access. New, pre-recorded trainings will be released every Thursday at 4PM EDT through September 2020. Live Q&A Sessions Live …

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Initiative: CMS Announces CHART Model for Improving Rural Health

The CMS Innovation Center recently announced the Community Health Access and Rural Transformation (CHART) Model to address disparities by providing a path for rural communities to transform health care delivery by leveraging innovative financial arrangements combined with operational and regulatory flexibilities. The Model aims to: Increase financial stability for rural providers by providing up-front investments …

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Resources: Where can I learn more about health equity?

View popular resources from our partners. Federal Centers for Medicare & Medicaid Services (CMS): Office of Minority Health Health & Human Services (HHS): Health Disparities Partners The Community Guide: Health Equity Robert Wood Johnson Foundation: What is Health Equity? Rural Health Information Hub: Social Determinants of Health in Rural Communities Toolkit Social Determinants of Health …

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CMS Releases Long-Term Care Hospital Quality Reporting Program Web-Based Training

The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training course for those who are new to the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP). This course is designed to provide a general overview of the program as well as a variety of links and resources for additional information. Specific topics …

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CMS Stakeholder Calls: September 8-24

CMS hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19. These sessions are open to members of the healthcare community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions of CMS and other subject matter experts. CMS COVID-19 …

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CMS Releases Interim Final Rule, Reporting Requirements Updates, and Additional Policy and Regulatory Revisions

August 26, 2020 – The Centers for Medicare & Medicaid Services (CMS) is committed to taking critical steps to ensure America’s healthcare facilities are prepared to respond to the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (PHE). On August 25, 2020, an interim final rule with comment period (IFC) went on display at the Federal …

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CMS Launches National Training Program to Strengthen Nursing Home Infection Control Practices

New training provides education on critical safety measures to keep residents safe August 25, 2020 – The Centers for Medicare & Medicaid Services (CMS) is implementing an unprecedented national nursing home training program for frontline nursing home staff and nursing home management. The training is designed to equip both frontline caregivers and their management with …

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Nursing Home Strategies for COVID-19 Only Isolation of COVID-19 Residents

August 25, 2020 – The Centers for Medicare & Medicaid Services (CMS) released a Medicaid Informational Bulletin (CIB) that provides guidance to states on flexibilities that are available to increase reimbursement for nursing facilities that implement specific infection control practices, such as designating a quarantine or isolation wing for COVID-19 patients. Nursing facilities are particularly …

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Lessons from the Front Lines: COVID-19

Twice a month on Friday, 12:30–2:00 PM EDT Lessons from the Front Lines calls are a joint effort between CMS Administrator Seema Verma, FDA Commissioner Stephen Hahn, MD, and the White House Coronavirus Task Force. Physicians and other clinicians are invited to share their experience, ideas, strategies, and insights with one another related to their …

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Important CMS & CDC Nursing Home Training Series Change

Thursday, August 20, 2020 – The Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC) transitioned the live nursing home infection control trainings to a pre-recorded, self-paced format. New Trainings Series The new CMS-CDC Fundamentals of COVID-19 Prevention for Nursing Home Management training series will include 13 topics …

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